15-100058Project Name: SHELL
Project Address: 31660 PACIFIC HWY S
Electrical
Permit #: 15 -100058 -00 -EL
Project Description: Relocate electrical panel and miscellaneous wiring.
Inspection Request Line: (253) 835,3050
Parcel Number: 092104 9248
Owner
P SQUARE PETROLEUM INC
Auolicant
CHAMBERS PRAIRIE ELECTRIC
Contractor
CHAMBERS PRAIRIE ELECTRIC
8315 S 212TH ST
City of Federal Way
Community & Econ. Dev. Services
CHAMBPE045C9 (3/1/,6)
33325 8th Ave S
FILE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
EAST OLYMPIA WA 98540
Project Name: SHELL
Project Address: 31660 PACIFIC HWY S
Electrical
Permit #: 15 -100058 -00 -EL
Project Description: Relocate electrical panel and miscellaneous wiring.
Inspection Request Line: (253) 835,3050
Parcel Number: 092104 9248
Owner
P SQUARE PETROLEUM INC
Auolicant
CHAMBERS PRAIRIE ELECTRIC
Contractor
CHAMBERS PRAIRIE ELECTRIC
8315 S 212TH ST
PO BOX 655
CHAMBPE045C9 (3/1/,6)
WA 98032
EAST OLYMPIA WA 98540
PO BOX 655
EAST OLYMPIA WA 98540
Additional Permit Information
PERMIT EXPIRE
Permit Issued on T
I hereby certify that the above information is correct
the occupancy and the use will be in accordance I
Owner or agent:
r
low
7themy 5, 2015
ary 2015
t on theabove described property and
he laws, ulations of the State of Washington
of Fede
Date: .1/4�
/,.S
i
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -100058 -00 -EL Address: 31660 PACIFIC HWY S
Project: P SQUARE PETROLEUM INC FEDERAL WAY, WA 98003-5408
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
UFER Ground (4295)11
Ditch cover (4 30)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF Building Division
� 33325 Eighth Avenue South
Federal Way, WA 98003-6325
FederaI Way
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 31 t'co v Pae -i f,' G P V,4 '3. PERMIT#: 1S- 10 0 o S7 - by - kE�L
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IF YOU HAVE QUESTIONS CALL V�Au-W (253) 835- n -to 1-3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
e). 4 1 S'
(=:E���
ATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF
Federal Way
RPCENED
JAN 0 6 2015
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER I �S7 _ /0
o o 5 8�, _ c5
ELEC'T'RICAL
PERMIT APPLICATION
SITE ADDRESS: 3/4,470
SUITE/UNIT/SPACE #
PROJECTV�ALU TIONW
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)%/j%
G
PROJECT DESCRIPTION
Alt& El w
Detailed description of work to
,I A.)
be included on this permit only
PROPERTY OWNER
NAME
o 51 IV q
PRIMARY PHONE
.
MAILING ADDRESS
E-MAIL
CITY
STATE
I ZIP
FAX
)
NAME
PRIMARY PHONE
ELECTRICAL
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CO RA OR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
.
NAME
')
PRIMARY PHONE
MAILING ADDRESS
-�o SS
E-MAIL
ST! TE
K
ZIP {f ref _)
O a� [ v
FAX7
1 �) < �� — / �-3
PROJECT CONTACT
NAME
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME:
TE
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application